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1.
Biochem Biophys Res Commun ; 534: 702-706, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33199025

RESUMEN

There have been several clinical reports of transient postoperative hyperglycemia in patients with insulinoma, but the effect of insulinoma on normal ß-cells has not been investigated. We examined the glucose transporter 2 (GLUT2) and glucagon-like peptide 1 receptor (GLP1R) expression in normal pancreatic ß-cells of five patients with insulinoma and five patients with normal glucose tolerance (NGT) as controls. The positive rate of GLUT2-or GLP1R-positive islets in the nontumor area was calculated by the ratio with the analyzed islets. For functional in vitro analyses, q-PCR and Western blotting were performed after insulin loading on MIN6 cells. The expression rates of both GLUT2 and GLP1R were significantly lower in nontumor area islets of insulinoma patients than in patients with NGT (GLUT2: 31.6 ± 15.3% vs 95.9 ± 6.7%, p < 0.01, GLP1R: 66.8 ± 15.0% vs 96.7 ± 5.0%, p < 0.01). Exposure of MIN6 cells to high concentrations of insulin resulted in a significant decrease in GLUT2 protein for 12 h and GLP1R protein for 24 h (GLUT2; 1.00 ± 0.079 vs 0.81 ± 0.04. p = 0.02, GLP1R; 1.00 ± 0.10 vs 0.50 ± 0.24, p = 0.03) but not in those mRNAs. Our findings show that insulinoma is associated with the downregulation of GLUT2 and GLP1R expression in nontumor area islets. These phenomena may be caused by high levels of insulin.


Asunto(s)
Receptor del Péptido 1 Similar al Glucagón/metabolismo , Transportador de Glucosa de Tipo 2/metabolismo , Hiperinsulinismo/etiología , Insulinoma/cirugía , Neoplasias Pancreáticas/cirugía , Anciano , Animales , Línea Celular , Femenino , Receptor del Péptido 1 Similar al Glucagón/genética , Transportador de Glucosa de Tipo 2/genética , Humanos , Insulina/farmacología , Secreción de Insulina , Células Secretoras de Insulina/efectos de los fármacos , Células Secretoras de Insulina/metabolismo , Insulinoma/metabolismo , Masculino , Ratones , Persona de Mediana Edad , Neoplasias Pancreáticas/metabolismo , Periodo Posoperatorio
2.
Anaesthesist ; 67(6): 409-425, 2018 06.
Artículo en Alemán | MEDLINE | ID: mdl-29789877

RESUMEN

An ideal non-invasive monitoring system should provide accurate and reproducible measurements of clinically relevant variables that enables clinicians to guide therapy accordingly. The monitor should be rapid, easy to use, readily available at the bedside, operator-independent, cost-effective and should have a minimal risk and side effect profile for patients. An example is the introduction of pulse oximetry, which has become established for non-invasive monitoring of oxygenation worldwide. A corresponding non-invasive monitoring of hemodynamics and perfusion could optimize the anesthesiological treatment to the needs in individual cases. In recent years several non-invasive technologies to monitor hemodynamics in the perioperative setting have been introduced: suprasternal Doppler ultrasound, modified windkessel function, pulse wave transit time, radial artery tonometry, thoracic bioimpedance, endotracheal bioimpedance, bioreactance, and partial CO2 rebreathing have been tested for monitoring cardiac output or stroke volume. The photoelectric finger blood volume clamp technique and respiratory variation of the plethysmography curve have been assessed for monitoring fluid responsiveness. In this manuscript meta-analyses of non-invasive monitoring technologies were performed when non-invasive monitoring technology and reference technology were comparable. The primary evaluation criterion for all studies screened was a Bland-Altman analysis. Experimental and pediatric studies were excluded, as were all studies without a non-invasive monitoring technique or studies without evaluation of cardiac output/stroke volume or fluid responsiveness. Most studies found an acceptable bias with wide limits of agreement. Thus, most non-invasive hemodynamic monitoring technologies cannot be considered to be equivalent to the respective reference method. Studies testing the impact of non-invasive hemodynamic monitoring technologies as a trend evaluation on outcome, as well as studies evaluating alternatives to the finger for capturing the raw signals for hemodynamic assessment, and, finally, studies evaluating technologies based on a flow time measurement are current topics of clinical research.


Asunto(s)
Monitorización Hemodinámica/instrumentación , Adulto , Monitorización Hemodinámica/métodos , Humanos , Reproducibilidad de los Resultados
3.
Dis Esophagus ; 30(8): 1-6, 2017 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-28575244

RESUMEN

Gastric pull-up is a common procedure to reconstruct the continuity of the upper digestive tract after esophageal resection. However, this technique sometimes causes postoperative anastomotic leakage or stricture, resulting from insufficient blood flow at the distal end. To overcome this problem, additional microvascular venous anastomoses were performed. The purpose of this study was to compare the outcomes of post-surgical anastomotic leakage and stricture in patients with and without additional microvascular venous superdrainage after cervical esophageal and hypopharyngeal resection and gastric tube reconstruction. A total of 29 consecutive patients with esophageal or hypopharyngeal cancer who underwent total esophagectomy and hypopharyngectomy with gastric tube reconstruction in the National Organization Nagasaki Medical Center between April 2014 and May 2016 were analyzed in this study. Of these patients, 20 underwent additional venous anastomoses (superdrainage group), and 9 did not undergo additional procedures (standard group). We compared the frequency of post-surgical stricture and leakage in the two groups retrospectively. Three of nine patients (33.3%) developed postoperative leakage in the standard group, and 1 of 20 (5.0%) did so in the superdrainage group. Six of nine patients (66.7%) showed postoperative anastomotic stricture in the standard group, but none did so in the superdrainage group. Patients who did not undergo additional venous superdrainage were significantly more likely to develop postsurgical leakage (P < 0.05, Chi-square test) and anastomotic stricture (P < 0.001, Chi-square test). Our study revealed that only additional venous anastomoses could reduce the incidence of postoperative anastomotic leakage and stricture. This procedure is of merit to perform after total esophagectomy and hypopharyngectomy with gastric tube reconstruction.


Asunto(s)
Fuga Anastomótica/prevención & control , Drenaje/métodos , Estenosis Esofágica/prevención & control , Esofagoplastia/métodos , Esófago/cirugía , Microvasos/cirugía , Anciano , Anciano de 80 o más Años , Anastomosis Quirúrgica/métodos , Fuga Anastomótica/etiología , Estenosis Esofágica/etiología , Esofagectomía/efectos adversos , Esófago/irrigación sanguínea , Femenino , Humanos , Hipofaringe/cirugía , Masculino , Persona de Mediana Edad , Cuello/cirugía , Estudios Retrospectivos , Estómago/irrigación sanguínea , Estómago/cirugía , Resultado del Tratamiento
4.
Cryo Letters ; 38(6): 419-427, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29734437

RESUMEN

  BACKGROUND: Maintenance of in vitro collections of ulluco (Ullucus tuberosus Cal.) is cumbersome and costly in an ex-situ genebank. An alternative method for long term preservation which is safe and cost-effective is required. OBJECTIVE: To apply a novel cryopreservation procedure using the cryo-plate system to improve the long-term conservation of ulluco. MATERIALS AND METHODS: Initially V and D cryo-plate methods were tested, subsequently the D cryo-plate method was selected for ulluco cryopreservation. The D cryo-plate procedures were optimized for post-LN regrowth procedures including cold-hardening, sucrose addition in alginate gel, and duration of LS treatment. Optimized procedures were tested with 11 ulluco lines. RESULTS: Shoot tips were isolated from cold-hardened shoots for 3-4 weeks at 5 degree C were excised to 1.0-1.5 mm long and 0.5 mm wide and precultured for 16h at 25 degree C on MS with 0.3 M sucrose. The shoot tips were attached on the cryo-plates by alginate gel with 0.4M sucrose. The cryo-plates with attached shoot tips were treated with 2.0 M glycerol and 1.0 M sucrose solution for 90 min at 25 degree C and dehydrated on filter paper in a Petri dish by air current flow at 25 degree C for 45 min before direct immersion in LN. This optimized procedure was applied to shoot tips of 11 ulluco lines, resulting regrowth ranging from 73 % to 97 %, with an average of 90 % post-LN regrowth. CONCLUSION: D cryo-plate is a practical and simple procedure for cryo-storage of in vitro grown ulluco shoot tips in an ex situ genebank.


Asunto(s)
Caryophyllaceae/fisiología , Criopreservación/instrumentación , Criopreservación/métodos , Brotes de la Planta/fisiología , Alginatos/farmacología , Caryophyllaceae/efectos de los fármacos , Frío , Crioprotectores/farmacología , Ácido Glucurónico/farmacología , Glicerol/farmacología , Ácidos Hexurónicos/farmacología , Ósmosis , Brotes de la Planta/efectos de los fármacos , Sacarosa/farmacología , Vitrificación
5.
J Anim Physiol Anim Nutr (Berl) ; 98(4): 636-42, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23859084

RESUMEN

We investigated mannanase-hydrolysed copra meal (MCM), which contains ß-1,4-mannobiose (MNB), for its capacity to improve growth performance and activate intestinal villus function. Seven-day-old chicks were separated into four flocks with an equal mean body weight and then fed a basal diet (control) or a diet supplemented with 0.02% or 0.1% MCM. After 7 weeks, the feed intake and body weight were determined and then used to calculate the feed efficiency (FE). Moreover, the intestinal segments were examined by light microscopy and scanning electron microscopy (SEM) for cellular and morphological changes in the villus. Although feed intake was not significantly different among the experimental groups, the body weight gain and FE were significantly higher in the 0.1% MCM group than in the control group (p < 0.05), while feed intake tended to be higher in the 0.02% and 0.1% MCM groups. The cellular area of the ileum was significantly higher in the 0.02% and 0.1% groups in relation to that in the control group (p < 0.05). Furthermore, the cellular area of the duodenum and the jejunum tended to be higher in the 0.02% and 0.1% MCM groups. For the correlation analysis, a significant correlation was observed between the dosage of MCM and the cell area of the duodenum, jejunum and ileum. Moreover, the number of mitotic cells was higher in the 0.1% MCM group. As shown by SEM, the cells at the villi tips were protuberant in appearance in the 0.02% and 0.1% MCM treatments when compared with the relatively flat cells of the control. On the duodenal villus surface of the 0.1% MCM group, some cells devoid of microvilli were observed, suggesting that the increased protuberance of these cells represents increased absorption activity. Although intestinal villus height and area did not significantly differ among groups, the levels of these parameters tended to increase in the experimental groups relative to the control. The present morphological findings reveal that MNB might be effective for activating intestinal absorptive function, and that the functional activation promotes the growth of the chickens.


Asunto(s)
Alimentación Animal/análisis , Pollos/anatomía & histología , Pollos/crecimiento & desarrollo , Dieta/veterinaria , Intestinos/ultraestructura , 6-Fitasa/metabolismo , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Carbohidratos de la Dieta , Masculino , Mananos/metabolismo
6.
Cytogenet Genome Res ; 139(4): 225-33, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23548868

RESUMEN

Sister chromatid cohesion mediated by the cohesin complex is essential for faithful chromosome segregation. Previously we reported that PHB2 (prohibitin2/ASURA), a multifunctional protein, has a role in sister chromatid cohesion. Nevertheless, how ASURA is involved in sister chromatid cohesion still remains unclear. The present co-immunoprecipitation analysis reveals that ASURA interacts with cohesin subunit Scc1 in vivo. We show that ASURA associates with chromatin in a similar manner as Scc1 throughout the cell cycle. Furthermore, our observation using the Fucci (fluorescent ubiquitination-based cell cycle indicator) system indicates that ASURA is important for cohesin maintenance at early mitosis. We have also identified that the conserved PHB domain is responsible for chromatin targeting of ASURA. Our results suggest that the regulation of sister chromatid cohesion is mediated by ASURA binding to chromatin, where ASURA might be involved in cohesin protection through ASURA-Scc1 interactions.


Asunto(s)
Proteínas de Ciclo Celular/metabolismo , Cromatina/metabolismo , Proteínas Cromosómicas no Histona/metabolismo , Proteínas Nucleares/metabolismo , Fosfoproteínas/metabolismo , Mapeo de Interacción de Proteínas/métodos , Proteínas Represoras/metabolismo , Recuento de Células , Proteínas de Ciclo Celular/genética , Núcleo Celular/genética , Núcleo Celular/metabolismo , Centrómero/genética , Centrómero/metabolismo , Cromátides/genética , Cromátides/metabolismo , Cromatina/genética , Ensamble y Desensamble de Cromatina , Proteínas Cromosómicas no Histona/genética , Proteínas de Unión al ADN , Colorantes Fluorescentes/metabolismo , Puntos de Control de la Fase G2 del Ciclo Celular , Células HeLa , Humanos , Mitocondrias/genética , Mitocondrias/metabolismo , Mitosis , Proteínas Nucleares/genética , Fosfoproteínas/genética , Prohibitinas , Unión Proteica , Estructura Terciaria de Proteína , Interferencia de ARN , Proteínas Represoras/genética , Cohesinas
7.
Cryo Letters ; 34(6): 549-60, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24441366

RESUMEN

Two cryopreservation procedures using aluminium cryo-plates, termed V-Cryo-plate and D-Cryo-plate, were successfully developed for in vitro mat rush (Juncus decipiens Nakai) basal stem buds. Multiple stems induced in liquid MS medium containing 8.9 µM BA by roller culture were cut into small clumps, plated on solid MS medium and cultured for 1 week at 25 degree C. Clumps that had produced many buds were cold-hardened at 5 degree C for 1-2 months. The buds with basal stems were dissected from small clumps and precultured overnight at 25 degree C on solid MS medium containing 0.3 M sucrose. Precultured buds were placed on aluminium cryo-plates and embedded in calcium alginate gel. Osmoprotection was performed by immersing the cryo-plates for 30 min at 25 degree C in loading solution (2 M glycerol + 1.0 M sucrose). In the D-Cryo-plate procedure, the buds were dehydrated to 27-25% moisture content (fresh weight) by placing the cryo-plates in the air current of a laminar flow cabinet for 2 to 3 h. In the V-Cryo-plate procedure, buds were dehydrated by immersing the cryo-plates in PVS2 vitrification solution for 40 min at 25 degree C. In both procedures, cooling was performed by placing the cryo-plates in uncapped cryotubes, which were immersed in liquid nitrogen. For rewarming, cryo-plates were immersed in medium with 1.0 M sucrose for 20 min at room temperature. Regrowth of cryopreserved buds of line 'Kitakei 2' using D-Cryo-plate and V-Cryo-plate procedures, was 90% and 80%, respectively. The two procedures were applied to 20 additional mat rush lines. Using the V-Cryo-plate procedure resulted in regrowth ranging between 13.3 and 86.7%, with an average of 52.5%. The D-Cryo-plate led to regrowth ranging between 73.3 and 96.7%, with an average of 86.3%. The D-Cryo-plate procedure will facilitate cryostorage of mat rush germplasm.


Asunto(s)
Criopreservación/instrumentación , Magnoliopsida/crecimiento & desarrollo , Vitrificación , Aluminio/química , Criopreservación/métodos , Crioprotectores/metabolismo , Desecación , Diseño de Equipo , Glicerol/metabolismo , Magnoliopsida/efectos de los fármacos , Brotes de la Planta/efectos de los fármacos , Brotes de la Planta/crecimiento & desarrollo , Tallos de la Planta/efectos de los fármacos , Tallos de la Planta/crecimiento & desarrollo , Sacarosa/metabolismo
8.
Physiol Res ; 72(2): 209-220, 2023 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-37159855

RESUMEN

In patients with diabetic kidney disease (DKD), the estimated glomerular filtration rate (eGFR) or creatinine clearance rate (Ccr) is always used as an index of decline in renal function. However, there are few animal models of DKD that could be used to evaluate renal function based on GFR or Ccr. For this reason, it is desirable to develop animal models to assess renal function, which could also be used for the evaluation of novel therapeutic agents for DKD. Therefore, we aimed to develop such animal model of DKD by using spontaneously hypertensive rat (SHR)/NDmcr-cp (cp/cp) rats with the characteristics of obese type 2 diabetes and metabolic syndrome. As a result, we have found that unilateral nephrectomy (UNx) caused a chronic Ccr decline, development of glomerular sclerosis, tubular lesions, and tubulointerstitial fibrosis, accompanied by renal anemia. Moreover, losartan-mixed diet suppressed the Ccr decline in UNx-performed SHR/NDmcr-cp rats (UNx-SHR/cp rats), with improvement in renal anemia and histopathological changes. These results suggest that UNx-SHR/cp rats could be used as a DKD model for evaluating the efficacy of therapeutic agents based on suppression of renal function decline.


Asunto(s)
Diabetes Mellitus Tipo 2 , Nefropatías Diabéticas , Síndrome Metabólico , Ratas , Animales , Ratas Endogámicas SHR , Losartán
9.
J Bioenerg Biomembr ; 44(1): 61-79, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22318356

RESUMEN

Oxidative stress-energy depletion therapy using oxidative stress induced by D-amino acid oxidase (DAO) and energy depletion induced by 3-bromopyruvate (3BP) was reported recently (El Sayed et al., Cancer Gene Ther., 19, 1-18, 2012). Even in the presence of oxygen, cancer cells oxidize glucose preferentially to produce lactate (Warburg effect) which seems vital for cancer microenvironment and progression. 3BP is a closely related structure to lactate and pyruvate and may antagonize their effects as a novel mechanism of its action. Pyruvate exerted a potent H(2)O(2) scavenging effect to exogenous H(2)O(2), while lactate had no scavenging effect. 3BP induced H(2)O(2) production. Pyruvate protected against H(2)O(2)-induced C6 glioma cell death, 3BP-induced C6 glioma cell death but not against DAO/D-serine-induced cell death, while lactate had no protecting effect. Lactate and pyruvate protected against 3BP-induced C6 glioma cell death and energy depletion which were overcome with higher doses of 3BP. Lactate and pyruvate enhanced migratory power of C6 glioma which was blocked by 3BP. Pyruvate and lactate did not protect against C6 glioma cell death induced by other glycolytic inhibitors e.g. citrate (inhibitor of phosphofructokinase) and sodium fluoride (inhibitor of enolase). Serial doses of 3BP were synergistic with citrate in decreasing viability of C6 glioma cells and spheroids. Glycolysis subjected to double inhibition using 3BP with citrate depleted ATP, clonogenic power and migratory power of C6 glioma cells. 3BP induced a caspase-dependent cell death in C6 glioma. 3BP was powerful in decreasing viability of human glioblastoma multiforme cells (U373MG) and C6 glioma in a dose- and time-dependent manner.


Asunto(s)
Antineoplásicos Alquilantes/farmacología , Supervivencia Celular/efectos de los fármacos , Glioblastoma/metabolismo , Glioma/metabolismo , Ácido Láctico/antagonistas & inhibidores , Piruvatos/farmacología , Ácido Pirúvico/antagonistas & inhibidores , Apoptosis/efectos de los fármacos , Ácido Cítrico/metabolismo , D-Aminoácido Oxidasa/farmacología , Electroforesis en Gel de Poliacrilamida , Glioblastoma/tratamiento farmacológico , Glioma/tratamiento farmacológico , Glucólisis/efectos de los fármacos , Humanos , Peróxido de Hidrógeno/metabolismo , Immunoblotting , Ácido Láctico/farmacología , Estrés Oxidativo , Ácido Pirúvico/farmacología , Sales de Tetrazolio , Tiazoles
10.
J Bioenerg Biomembr ; 44(5): 513-23, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22802136

RESUMEN

Angiogenesis is critical for cancer growth and metastasis. Steps of angiogenesis are energy consuming, while vascular endothelial cells are highly glycolytic. Glioblastoma multiforme (GBM) is a highly vascular tumor and this enhances its aggressiveness. D-amino acid oxidase (DAO) is a promising therapeutic protein that induces oxidative stress upon acting on its substrates. Oxidative stress-energy depletion (OSED) therapy was recently reported (El Sayed et al., Cancer Gene Ther, 19, 1-18, 2012). OSED combines DAO-induced oxidative stress with energy depletion caused by glycolytic inhibitors such as 3-bromopyruvate (3BP), a hexokinase II inhibitor that depleted ATP in cancer cells and induced production of hydrogen peroxide. 3BP disturbs the Warburg effect and antagonizes effects of lactate and pyruvate (El Sayed et al., J Bioenerg Biomembr, 44, 61-79, 2012). Citrate is a natural organic acid capable of inhibiting glycolysis by targeting phosphofructokinase. Here, we report that DAO, 3BP and citrate significantly inhibited angiogenesis, decreased the number of vascular branching points and shortened the length of vascular tubules. OSED delayed the growth of C6/DAO glioma cells. 3BP combined with citrate delayed the growth of C6 glioma cells and decreased significantly the number and size of C6 glioma colonies in soft agar. Human GBM cells (U373MG) were resistant to chemotherapy e.g. cisplatin and cytosine arabinoside, while 3BP was effective in decreasing the viability and disturbing the morphology of U373MG cells.


Asunto(s)
Quelantes/farmacología , Ácido Cítrico/farmacología , D-Aminoácido Oxidasa/metabolismo , Inhibidores Enzimáticos/farmacología , Glioblastoma/tratamiento farmacológico , Neovascularización Patológica/tratamiento farmacológico , Estrés Oxidativo/efectos de los fármacos , Piruvatos/farmacología , Adenosina Trifosfato/genética , Adenosina Trifosfato/metabolismo , Animales , Antineoplásicos/farmacología , Línea Celular Tumoral , Cisplatino/farmacología , Citarabina/farmacología , D-Aminoácido Oxidasa/genética , Resistencia a Antineoplásicos/efectos de los fármacos , Resistencia a Antineoplásicos/genética , Metabolismo Energético/efectos de los fármacos , Metabolismo Energético/genética , Glioblastoma/enzimología , Glioblastoma/genética , Hexoquinasa/antagonistas & inhibidores , Hexoquinasa/genética , Hexoquinasa/metabolismo , Células Endoteliales de la Vena Umbilical Humana , Humanos , Peróxido de Hidrógeno/metabolismo , Ratones , Neovascularización Patológica/enzimología , Neovascularización Patológica/genética , Neovascularización Patológica/patología
11.
Cryo Letters ; 33(1): 12-23, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22434118

RESUMEN

A vitrification procedure using aluminium cryo-plates (V-Cryo-plate procedure) was successfully developed and adjusted for in vitro-grown mint (Mentha spp.) shoot tips. Shoots were cultured at 25°C on MS medium containing 0.088 M sucrose for 7 to 14 days after the last subculture. Shoot tips with a basal part (1-1.5 mm × 1 mm) were dissected from the shoots and precultured at 25°C for 1 day on the same medium. Precultured shoot tips were placed on aluminium cryo-plates with 10 wells and embedded in alginate gel. Osmoprotection was performed by immersing the cryo-plates for 30 min at 25 degree C in 25 ml pipetting reservoirs filled with loading solution (2 M glycerol + 0.8 M sucrose). For dehydration, the cryo-plates were transferred and immersed in 25 ml pipetting reservoirs filled with PVS2 for 20 min at 25 degree C. Then the cryo-plates were transferred in uncapped 2 ml cryotubes and directly plunged into liquid nitrogen. For rewarming, shoot tips attached to the cryo-plates were immersed in cryotubes containing 2 ml 1 M sucrose solution at room temperature. Using this procedure, regrowth of cryopreserved shoot tips of line 'Fukuyamajisei' reached over 90 percent. This protocol was successfully applied to 16 additional Mentha lines, with regrowth ranging from 73 percent to 100 percent. This V-Cryo-plate method will facilitate the cryostorage of mint germplasm in our genebank.


Asunto(s)
Criopreservación/métodos , Mentha/crecimiento & desarrollo , Brotes de la Planta/crecimiento & desarrollo , Vitrificación , Alginatos/química , Aluminio , Bancos de Muestras Biológicas , Criopreservación/instrumentación , Crioprotectores , Medios de Cultivo , Técnicas de Cultivo , Desecación/métodos , Geles , Glicerol , Concentración Osmolar , Sacarosa
12.
Anaesthesist ; 61(3): 193-201, 2012 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-22430549

RESUMEN

Malignant tumors are the second major cause of death in Germany. The essential therapy of operable cancer is surgical removal of primary tumors combined with adjuvant therapy. However, several consequences of surgery may promote metastasis, such as shedding of tumor cells into the circulation, decrease in tumor-induced antiangiogenesis factors, excessive release of growth factors for wound healing and suppression of immunity induced by surgical stress. In the last decade it has become clear that cell-mediated immunity controls the development of metastasis. Various perioperative factors, such as surgical stress, certain anesthetic and analgesic drugs and pain can suppress the patients' immune system perioperatively. On the other hand, by modifications of the anesthesia technique (e.g. regional anesthesia) and perioperative management to minimize immunosuppression, anesthesiologists can play a considerable role for a better outcome in patients having malignant tumors. Sufficient clinical evidence is not yet available to prove or disprove the hypothesis that anesthesia practice can improve cancer prognosis. Despite difficulties in study design, several prospective randomized trials are currently running and the results are awaited to elucidate this topic.


Asunto(s)
Anestesia/efectos adversos , Neoplasias/complicaciones , Neoplasias/cirugía , Humanos , Inmunidad Celular/inmunología , Metástasis de la Neoplasia/patología , Metástasis de la Neoplasia/prevención & control , Neoplasias/inmunología , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/terapia , Pronóstico , Ensayos Clínicos Controlados Aleatorios como Asunto , Estrés Fisiológico , Resultado del Tratamiento
13.
Br J Anaesth ; 107(5): 735-41, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21862494

RESUMEN

BACKGROUND: Propofol reduces cerebral blood flow (CBF) secondary to cerebral metabolic depression. However, in vitro and in vivo studies demonstrate that propofol directly dilates the vascular smooth muscle. This study investigates the effects of propofol-induced changes in bispectral index (BIS) on cerebral microcirculation and oxygenation during craniotomies. METHODS: In 21 craniotomy patients undergoing routine craniotomy, anaesthesia was maintained with propofol 4-10 mg kg⁻¹ h⁻¹ and remifentanil 0.1-0.4 µg kg⁻¹ min⁻¹. Propofol concentration was adjusted to achieve higher BIS (target 40) or lower BIS (target 20). Regional measurements of capillary venous blood flow (rvCBF), oxygen saturation (srvO2), and haemoglobin amount (rvHb) at 2 mm (grey matter) and 8 mm (white matter) cerebral depth were randomly performed at higher and lower BIS by combined laser-Doppler flowmetry and spectroscopy. Calculations: approximated arteriovenous difference in oxygen content (avDO2) and cerebral metabolic rate of oxygen (aCMRO2). RESULTS: mean values (sd). STATISTICS: Mann-Whitney test (*P<0.05). Results Human cerebral microcirculation and oxygen saturation were assessed at propofol dosages 5.1 (2.3) mg kg⁻¹ h⁻¹ [BIS 40 (9)] and 7.8 (2.1) mg kg⁻¹ h⁻¹ [BIS 21 (7)]. Propofol-induced reduction in BIS resulted in increased srvO2 (P=0.018), and decreased avDO2 (P=0.025) and aCMRO(2) (P=0.022), in 2 mm cerebral depth, while rvCBF and rvHb remained unchanged. In 8 mm cerebral depth, srvO2, rvCBF, rvHb, and also calculated parameters avDO2 and aCMRO2 remained unaltered. CONCLUSIONS: Findings suggest alteration of the CBF/CMRO2 ratio by propofol in cortical brain regions; therefore, it might be possible that propofol affects coupling of flow and metabolism in the cerebral microcirculation.


Asunto(s)
Anestésicos Intravenosos/farmacología , Circulación Cerebrovascular/efectos de los fármacos , Microcirculación/efectos de los fármacos , Monitoreo Intraoperatorio/métodos , Oxígeno/metabolismo , Propofol/farmacología , Adulto , Anestésicos Intravenosos/metabolismo , Encéfalo/irrigación sanguínea , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Monitores de Conciencia , Craneotomía , Relación Dosis-Respuesta a Droga , Femenino , Hemoglobinas/efectos de los fármacos , Hemoglobinas/metabolismo , Humanos , Flujometría por Láser-Doppler/métodos , Masculino , Persona de Mediana Edad , Oximetría/métodos , Piperidinas , Propofol/metabolismo , Remifentanilo , Análisis Espectral/métodos
14.
Drugs Today (Barc) ; 57(8): 491-497, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34405206

RESUMEN

Anemia is a common complication in patients with chronic kidney disease (CKD). Erythropoiesis-stimulating agents (ESAs) are the standard therapy for anemia in CKD. It has been expected that hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibition may have the potential to provide therapeutic benefits over pre-existing ESAs for anemia in CKD. Enarodustat (JTZ-951) is an oral HIF-PH inhibitor. In preclinical studies, enarodustat has been found to increase HIF-alpha proteins, erythropoietin production and erythropoiesis. Enarodustat also shows efficient iron utilization in iron-related parameters during erythropoiesis. Clinical trials have shown that enarodustat improved anemia both in non-dialysis-dependent CKD patients and dialysis patients. The safety results in clinical trials demonstrate that enarodustat is generally well tolerated. On the basis of these results, enarodustat was approved in September 2020 in Japan for the treatment of anemia associated with CKD. This manuscript will review enarodustat, its pharmacological characteristics in preclinical studies, and its efficacy and safety in clinical trials with anemic patients in CKD.


Asunto(s)
Anemia , Eritropoyetina , Insuficiencia Renal Crónica , Anemia/tratamiento farmacológico , Anemia/etiología , Humanos , Prolina Dioxigenasas del Factor Inducible por Hipoxia , Glicinas N-Sustituídas , Piridinas , Insuficiencia Renal Crónica/complicaciones , Triazoles
15.
J Exp Med ; 161(5): 924-34, 1985 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-2985731

RESUMEN

Three rat lymphoid cell lines (TARS-1, TARL-2, and TART-1) (12) transformed by human T cell leukemia/lymphoma virus I (HTLV-I) had rearrangement of the beta chain gene of the T cell antigen receptor, and had integrated proviral DNA from HTLV-I in their genomes. As is the case with adult T cell leukemia (ATL)-derived human T cell lines transformed by HTLV-I, these rat cell lines unequivocally expressed interleukin 2 (IL-2) receptor, as determined by radiolabeled IL-2 binding. By Scatchard plot analysis, one of the cell lines, TART-1, proved to have high affinity receptors (Ka = 1.3 X 10(11)/M and 8.8 X 10(9)/M). Rat IL-2 receptor, not human IL-2 receptor, was expressed on HTLV+ rat cell lines, as demonstrated by the fact that they expressed antigens reactive with monoclonal antibodies (ART-18) against rat IL-2 receptor, but not with anti-Tac antibodies. The collective evidence indicates that the endogenous IL-2 receptor gene is activated in human and rat lymphoid cell lines with HTLV-I production. The mechanism of abnormal IL-2 receptor expression in HTLV infection is discussed.


Asunto(s)
Deltaretrovirus , Interleucina-2/metabolismo , Receptores Inmunológicos/biosíntesis , Linfocitos T/metabolismo , Animales , Anticuerpos Monoclonales , Sitios de Unión , Línea Celular , Transformación Celular Viral , Deltaretrovirus/genética , Deltaretrovirus/inmunología , Electroforesis en Gel de Poliacrilamida , Genes Virales , Humanos , Activación de Linfocitos , Ratas , Ratas Endogámicas , Receptores de Antígenos de Linfocitos T/análisis , Receptores de Antígenos de Linfocitos T/biosíntesis , Receptores de Antígenos de Linfocitos T/genética , Receptores Inmunológicos/análisis , Receptores Inmunológicos/inmunología , Receptores de Interleucina-2 , Linfocitos T/inmunología
16.
Cytogenet Genome Res ; 129(1-3): 55-63, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20628249

RESUMEN

Plants have a wide range of genome sizes. The length of each DNA molecule is usually much longer than the diameter of the cell and the length of each metaphase chromosome is effectively shortened to progress through mitosis. Thus some questions arise, such as: How is genomic DNA folded and shortened into chromosomes? What kind of proteins and/or their modifications contribute to chromosome structure? Are there any upper limits for the ratio of DNA volume to nuclear volume? This review attempts to answer these questions based on recent advances in chromosome research. Genomic DNA is first folded into nucleosomal fibers and then superfolded into metaphase chromosomes to sufficiently shorten its length to less than the upper limit for normal progression of cell division. Nucleosomes play structural roles, not only for DNA folding, but also for determination of euchromatin, heterochromatin, and centromeres, together with post-translational modifications and replacement of core histones with histone variants, and for the regulation of their structure and transcriptional status. More than 200 proteins of human metaphase chromosomes have been identified, including 5 types of nucleosome histones. They are categorized into 4 groups, and a 4-layer model of the human metaphase chromosome has been developed. There are upper limits for DNA volume. In all plants examined to date the DNA volume does not exceed 3% of the nuclear volume. Histone modification also has an impact on the spatial distribution of chromosomes within a nucleus, which seems to be related to the plant genome size. These points are discussed as well, as they are essential to maintain proper nuclear functions.


Asunto(s)
Cromosomas de las Plantas/genética , Cromosomas de las Plantas/metabolismo , Histonas/genética , Histonas/metabolismo , Plantas/genética , Plantas/metabolismo , Núcleo Celular/genética , Núcleo Celular/metabolismo , Proteínas Cromosómicas no Histona/genética , Proteínas Cromosómicas no Histona/metabolismo , ADN de Plantas/genética , ADN de Plantas/metabolismo , Genoma de Planta , Humanos , Modelos Genéticos , Nucleosomas/genética , Nucleosomas/metabolismo
17.
Poult Sci ; 89(9): 1894-904, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20709974

RESUMEN

beta-1,4-Mannobiose (MNB) supplementation has been shown to prevent Salmonella Enteritidis infection in broilers by improving Salmonella Enteritidis clearance and increasing IgA production. This study examined in detail the gut immunomodulatory activity of MNB using microarray and real-time quantitative PCR analysis. One-day-old chicks were orally administered 0.1% (wt/wt) MNB 3 times a week for 28 d. Control birds received vehicle alone. Body weights and fecal IgA levels were monitored weekly. On d 28, spleen and bursa of Fabricius were removed and weights were recorded; samples of ileum, jejunum, cecum, spleen, thymus, and bursa of Fabricius were collected for histological examination; and ileum samples were collected for RNA extraction. No significant difference in BW or organ weights was observed between MNB-treated and untreated control birds, and no histological abnormalities were observed in any of the tissues examined. The MNB-treated chickens had significantly higher levels of fecal IgA over all 4 wk when compared with control birds. Microarray and reverse transcription PCR analysis revealed the upregulation of several genes involved in immune responses, including those involved in antigen recognition, processing and presentation (MHC class I and II), interferon-related genes, and genes involved in host defense. These results provide insight into the mechanism of action of dietary MNB in the intestine and confirm that MNB acts as a potent immune-modulating agent, exerting combined effects on the intestinal immune system.


Asunto(s)
Intestinos/efectos de los fármacos , Mananos/farmacología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/veterinaria , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Peso Corporal , Dieta/veterinaria , Suplementos Dietéticos , Heces/química , Regulación de la Expresión Génica/efectos de los fármacos , Inmunoglobulina A/metabolismo , Análisis por Matrices de Proteínas
18.
Water Sci Technol ; 62(11): 2550-7, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-21099041

RESUMEN

The presence of N-nitrosodimethylamine (NDMA) in the Hirose River and its tributaries, located in the upper Tone River basin, in the Kanto region of Japan, was investigated. NDMA was detected at high levels in the Arato River, one of the tributaries of the Hirose River, at high concentrations (up to 2,100 ng/L). Due to the confluence of the Arato River, NDMA concentration in the Hirose River increased (up to 61 ng/L). The NDMA in the Arato River was due to industrial discharge from a livestock processing plant located near the river. There were three discharges at the plant, with NDMA concentrations of 78, 11, and 33,000 ng/L. The industrial discharges from the livestock processing plant did not contain significant amounts of NDMA precursors on chloramination. On the other hand, sewage effluent was shown to contain NDMA precursors. The amounts of NDMA precursors in the sewage effluent that were rapidly transformed into NDMA were considered to be lower than those slowly transformed into NDMA.


Asunto(s)
Dimetilnitrosamina/química , Monitoreo del Ambiente , Ríos/química , Contaminantes Químicos del Agua/química , Japón , Contaminación Química del Agua/prevención & control
19.
Cytogenet Genome Res ; 124(3-4): 215-27, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19556775

RESUMEN

The importance of chromosome structural study is first described. Then an overview of historical imaging methods that enable us to quantitatively understand chromosome images and structure is given with special reference to the identification of small plant chromosomes and development of their quantitative chromosome maps. A three-dimensional understanding of chromosome distribution within a nucleus answers why the gene-rich regions localize at both ends of chromosomes, especially in the case of species with Rabl orientation. Not only imaging methods but also proteomic approaches are effective in understanding chromosome structure. Over 200 proteins have been identified by proteome analysis of human metaphase chromosomes, and are categorized into four distinct groups according to their nature and localization on chromosomes. These are chromosome coating proteins (CCPs), chromosome peripheral proteins (CPPs), chromosome structural proteins (CSPs), and chromosome fibrous proteins (CFPs). A chromosome four layer model has been developed accordingly. Case studies on individual identified proteins are further described, and the functional similarities of CPPs are exemplified. In addition the controversial roles of CSPs (topoisomerase and condensin), especially for development of higher-order chromosome structure, are discussed. Finally, it is concluded that further advances in chromosome research are necessary to solve an enigma lasting nearly two centuries, that is, why chromosomes retain the same shape in plants and animals.


Asunto(s)
Proteínas de Ciclo Celular/fisiología , Proteínas Cromosómicas no Histona/fisiología , Estructuras Cromosómicas/fisiología , Histonas/fisiología , Animales , Mapeo Cromosómico , Estructuras Cromosómicas/ultraestructura , Humanos , Plantas/genética
20.
Science ; 155(3759): 187-9, 1967 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-17738220

RESUMEN

Cosmic ray nuclei have been observed with the use of plastic trackdetecting solids in satellites and high-altitude balloon flights. Nuclear emulsions in the stacks of plastic sheets allowed the positive identification of cosmic raynuclei as light as nitrogen. The most striking new information was the failure to observe relativistic iron nuclei, a result which has led to an advance in the understanding of track registration criteria.

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